| Dragos Ghinea, | |
|
S68w15500 Janesville Rd, Muskego, WI 53150-2613 | |
| (414) 422-4000 | |
| (414) 422-4001 |
| Full Name | Dragos Ghinea |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | S68w15500 Janesville Rd, Muskego, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659958205 | NPI | - | NPPES |
| 100241085 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 77948-20 (Wisconsin) | Primary |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Dragos Ghinea, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dragos Ghinea, S68w15500 Janesville Rd, Muskego, WI 53150-2613 Ph: (414) 422-4000 |
Dr. Christopher Joseph Bermudez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: S68w15500 Janesville Rd, Muskego, WI 53150 Phone: 414-422-4000 Fax: 414-422-4001 | |
Maysa Sameh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: S68w15500 Janesville Rd, Muskego, WI 53150 Phone: 414-422-4000 | |
Trista Kleppin, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: S68w15500 Janesville Rd, Muskego, WI 53150 Phone: 414-422-4000 | |
Brian J Dudor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: S74 W16775 Janesville Road, Muskego, WI 53150 Phone: 414-422-2180 Fax: 414-422-2185 |